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38 The management of patients with PA remains controversial and the need for endoscopic and histological surveillance strategies to prevent GC in these patients is not universally accepted

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If the treatment is inadequate due to poor understanding of B12 metabolism, and symptoms return as a result, that's due to poor research/lack of adequate knowledge on how to treat B12 deficiency properly in PA

This was done using a sandwich ELISA assay which employed a purified antibody to collagen type I